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INDIVIDUAL CANVAS LLC
NPI 1245938257
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pueblo, CO

Active since February 20, 2023
46 REGENCY BLVD APT I, PUEBLO, CO 81005(719) 334-3123 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Individual Canvas Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIVIDUAL CANVAS LLC (NPI 1245938257) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, Colorado and active in the NPI registry since February 2023. The organization lists Theresa Marie Sandoval, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245938257
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINDIVIDUAL CANVAS LLC
Location Address46 REGENCY BLVD APT IPueblo, CO 81005-1831
Mailing Address46 Regency Blvd Apt IPueblo, CO 81005-1831 · (719) 334-3123
Phone(719) 334-3123
Organization SubpartNo
Authorized OfficialTheresa Marie SandovalExecutive Director · (719) 334-3123
Enumeration DateFebruary 20, 2023
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1245938257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedTransportation BrokerTaxonomy 347E00000X
46 REGENCY BLVD APT I, Pueblo, CO 81005
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Individual Canvas LLC's NPI number?

The NPI number for Individual Canvas LLC is 1245938257. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Individual Canvas LLC located?

Individual Canvas LLC is located at 46 Regency Blvd Apt I, Pueblo, CO 81005. The listed phone number is (719) 334-3123.

What is Individual Canvas LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Individual Canvas LLC was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.